MEDICARE: MR. DANIEL J HEADRICK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0401X	Addiction Medicine (Family Medicine) Physician	G45144	CA
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	00G451440	CA

General Provider Information

NPI Number	:	1770649816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL J HEADRICK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 6747
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92615-6747
Country	:	US
Telephone Number	:	714-377-3749
Fax Number	:	714-377-5642

Provider Business Practice Location Address
First Line	:	32301 CAMINO CAPISTRANO STE J
Second Line	:
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675-4512
Country	:	US
Telephone Number	:	800-900-0444
Fax Number	:	949-606-0491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2006
Last Update Date	:	08/23/2021

Similar Medicare Providers

1528446044 — PAIN RECOVERY MEDICAL GROUP
Practice Location Address:

32301 CAMINO CAPISTRANO STE K&L
SAN JUAN CAPISTRANO, CA
92675-4512

Practice Phone: 949-533-3046
Practice Fax:

1649805821 — LISA NEUMANN BHP, CADC-II
Practice Location Address:

32301 CAMINO CAPISTRANO STE J
SAN JUAN CAPISTRANO, CA
92675-4512

Practice Phone: 949-220-2373
Practice Fax:

1417709460 — TRACEY ADELE KANE LMFT
Practice Location Address:

32301 CAMINO CAPISTRANO STE L&K
SAN JUAN CAPISTRANO, CA
92675-4512

Practice Phone: 858-382-6134
Practice Fax:

1558534099 — LABORATORIO CLINICO ANIBEL
Practice Location Address:

724 AVE PONCE DE LEON , HATO REY
SAN JUAN, PR
00918-4512

Practice Phone: 787-767-4694
Practice Fax: 787-763-4347

1558682849 — RGD MEDICAL GROUP
Practice Location Address:

109 CALLE GUAYAMA
SAN JUAN, PR
00917-4512

Practice Phone: 787-989-5593
Practice Fax:

1326369679 — ACTION MEDICAL
Practice Location Address:

109 CALLE GUAYAMA
SAN JUAN, PR
00917-4512

Practice Phone: 787-692-7000
Practice Fax: 787-754-9911

Directions to “ MR. DANIEL J HEADRICK M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.